Abstract:

Objective To investigate the efficacy of laparoscopic hernia repair and open tension-free hernia repair in the treatment of adult inguinal hernia. Method 84 adult patients with inguinal hernia treated in Rugao People's Hospital from April 2016 to April 2021 were randomly divided into control group and observation group. The control group was treated with open tension-free hernia repair, and the observation group was treated with laparoscopic hernia repair. The operation time, bleeding volume and recovery time of the two groups were recorded, the occurrence of complications of the two groups were observed, and the degree of postoperative pain was measured. Result The operation time of the observation group was significantly longer than that of the control group, the amount of intraoperative bleeding was less than that of the control group, and the postoperative pain relief time, postoperative eating time, postoperative out of bed time and hospital stay were significantly shorter than those of the control group (P ＜ 0.05). The incidence of complications in the observation group was 7.14%, which was significantly lower than 26.19% in the control group (P ＜ 0.05). The effective rate of the observation group was 97.62%, which was significantly higher than 83.33% of the control group (P ＜ 0.05). Conclusion Compared with open tension-free hernia repair, laparoscopic hernia repair for adult inguinal hernia can reduce the amount of intraoperative bleeding, accelerate the recovery of gastrointestinal tract, shorten the length of hospital stay, and the postoperative pain subsides rapidly, with fewer complications and high safety.

Key words: Laparoscopic hernia repair, Open tension-free hernia repair, Inguinal hernia, Complication, Degree of pain